health
April 27, 2026
Supersalud reveals increase in claims and exposes widespread failures in service provision
General claims rate in EPS reached 423.35 per 10,000 affiliates in the last year. Photo: Photo: iStock/Private Archive
TL;DR
- The Superintendency of Health is facing new pressure due to the top EPS claims report.
- Superintendent Daniel Quintero ordered investigations into EPS denying medications.
- The general claims rate is 423.35 per 10,000 affiliates, showing high dissatisfaction.
- Comfenalco Valle leads with 653.04 claims per 10,000 affiliates.
- SOS, Famisanar, Capital Salud, and Compensar also show high claim rates.
- Nueva EPS is not the worst performer but needs a plan of action.
- More than half of the analyzed EPS are at or above the average claim rate.
- The focus is on medication denial as a critical issue in service quality.